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Co-occurrence of internalizing difficulties and aggression in early childhood and risk of mental health problems in middle childhood

Bibliographic Data

ID21462407
AuthorsStella Tsotsi (0000-0002-2010-0709, University of Oslo, corresponding author), Shaun Goh (Nanyang Technological University, Singapore), Shaun Goh Kok Yew (0000-0002-0432-8439, Nanyang Technological University), Robert J Coplan (0000-0003-3696-2108, Carleton University), Evalill Bølstad (0000-0002-9271-6510, University of Oslo), Nikolai Olavi Czajkowski (0000-0002-3713-653X, Norwegian Institute of Public Health), Dinka Smajlagic (0000-0003-1627-7293, University of Oslo), Mona Bekkhus (0000-0002-4447-8909, University of Oslo)
Year2023
Volume47
Issue5
Pages384-396
Publication date2023-09-01
Open AccessYes
TypeARTICLE
VenueInternational Journal of Behavioral Development (JOURNAL)
Journal identifiersISSN: 0165-0254 • E-ISSN: 1464-0651
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/01650254231187902
OpenAlexW4385459543
LanguageEN
Citations received3
References cited48

The goal of this prospective longitudinal study was to explore whether co-occurrent internalizing difficulties and aggression in early childhood convey increased risk for later mental health problems in middle childhood. Participants were mothers from the Norwegian Mother, Father and Child Cohort Study (MoBa), who provided assessments of child internalizing difficulties and aggression at ages 3 years ( n = 54,644; 26,750 girls) and 5 years ( n = 38,177; 18,794 girls), as measures of child depressive, anxiety, conduct-related, and oppositional defiant (OD) symptoms at age 8 years. Using latent profile analyses (LPA) of internalizing difficulties and aggression, four profiles were identified: low-symptom/normative; primarily internalizing; primarily aggressive; and co-occurrent. Among the other results, the co-occurrent group exhibited the highest levels of depressive, anxiety, and oppositional defiant symptoms at 8 years. Most children (78%) remained stable in their profile between ages 3 and 5 years. Among the transition patterns that emerged, transitions were observed both from the normative to a risk profile and vice versa. Children who remained stable within the co-occurrent profile or who transitioned from the co-occurrent profile to one of the other two risk profiles also exhibited more depressive, anxiety, and OD symptoms at 8 years of age, when compared with children who transitioned from the co-occurrent to the normative profile. The heterogeneity between early manifestation of internalizing difficulties and aggression, and specific type of later mental health symptoms not only supports a shared etiology between internalizing and externalizing difficulties but also points toward the need for person-centered monitoring in early childhood with further implications for early identification of difficulties and preventive measures

Aggression · Anxiety · Cohort · Developmental psychology · Longitudinal study · Mental health · Normative · Psychiatry · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Early Childhood Education and Development · Medicine · Neuroendocrine regulation and behavior · Psychology

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Citations per year1.5
Citation span2024 - 2026 (3)
Highly citedNo

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